Waggoner, Amy Jeannette

Waggoner, Amy Jeannette is an individual health care provider with primary practice located at 1 Cvs Dr Mail Code 3005, Woonsocket RI 02895-6146. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Waggoner, Amy Jeannette can be contacted via phone (512) 791-6564.

Contact Information

Primary practice address
1 Cvs Dr Mail Code 3005 Woonsocket RI 02895-6146
Phone: (512) 791-6564
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 617781 Texas

Profile Details

NPI number 1194794271
LBN Legal business name Waggoner, Amy Jeannette
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 20th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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